Disentangling the directions of associations between structural social capital and mental health: Longitudinal analyses of gender, civic engagement and depressive symptoms

Disentangling the directions of associations between structural social capital and mental health: Longitudinal analyses of gender, civic engagement and depressive symptoms
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DOI:
10.1016/j.socscimed.2016.07.005
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发表时间:
2016-08-01
影响因子:
5.4
通讯作者:
Hammarstrom, Anne
Hammarstrom, Anne
中科院分区:
医学2区
文献类型:
--
作者:
Landstedt, Evelina;Almquist, Ylva B.;Hammarstrom, Anne

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本论文分析了瑞典男性和女性在16-42岁年龄段的个人层面结构性社会资本(以公民参与的形式)与抑郁症状之间的关联方向。更具体地说,我们询问公民参与是否与抑郁症状的变化有关,如果是相反的,或者这种关联是双向的。这项纵向研究使用了来自瑞典北方1001人(482名女性和519名男性)的26年前瞻性队列资料。公民参与是通过反映俱乐部/组织参与程度的单项问题来衡量的。抑郁症状由综合指数评估。协会的方向进行了分析,通过性别分离的交叉滞后结构方程模型。模型在基线(16岁)时根据父母社会阶层、父母失业、父母健康和家庭类型进行了调整。随着时间的推移,公民参与和抑郁症状的水平相对稳定。与数据最佳拟合的模型显示,在男性中,青年公民参与与成年后的抑郁症状呈负相关,从而支持参与社交网络促进健康的假设,最有可能通过提供社会和心理支持,感知影响力和归属感。因此,促进青年男子公民参与的干预措施可能是预防男子今后精神健康状况不佳的一种方法。在女性中没有发现交叉滞后效应。我们讨论这种性别差异的性别经验的公民参与,这反过来又产生不同的意义和后果的男性和女性,如公民参与不作为积极的女性的心理健康,为男性。我们的结论是,理论上的结构性社会资本和干预措施,以促进公民参与健康促进的目的,需要承认性别的生活环境。(C)2016爱思唯尔有限公司版权所有
The present paper analysed the directions of associations between individual-level structural social capital, in the form of civic engagement, and depressive symptoms across time from age 16-42 years in Swedish men and women. More specifically, we asked whether civic engagement was related to changes in depressive symptoms, if it was the other way around, or whether the association was bi-directional. This longitudinal study used data from a 26-year prospective cohort material of 1001 individuals in Northern Sweden (482 women and 519 men). Civic engagement was measured by a single-item question reflecting the level of engagement in clubs/organisations. Depressive symptoms were assessed by a composite index. Directions of associations were analysed by means of gender-separate cross-lagged structural equation models. Models were adjusted for parental social class, parental unemployment, parental health, and family type at baseline (age 16). Levels of both civic engagement and depressive symptoms were relatively stable across time. The model with the best fit to data showed that, in men, youth civic engagement was negatively associated with depressive symptoms in adulthood, thus supporting the hypothesis that involvement in social networks promotes health, most likely through provision of social and psychological support, perceived influence, and sense of belonging. Accordingly, interventions to promote civic engagement in young men could be a way to prevent poor mental health for men later on in life. No cross-lagged effects were found among women. We discuss this gender difference in terms of gendered experiences of civic engagement which in turn generate different meanings and consequences for men and women, such as civic engagement not being as positive for women's mental health as for that of men. We conclude that theories on structural social capital and interventions to facilitate civic engagement for health promoting purposes need to acknowledge gendered life circumstances. (C) 2016 Elsevier Ltd. All rights reserved.